Nocardia species are aerobic saprophytic bacilli. Among Nocardia species, Nocardia otitidiscaviarum (N otitidiscaviarum) is rarely reported in pulmonary infection.Patient concerns:
We reported a case of N otitidiscaviarum pneumonia in a cotton farmer.Diagnoses:
N otitidiscaviarum pneumonia was identified by mass spectroscopy.Interventions:
Combined treatments (amikacin, imipenem and trimethoprim-sulfamethoxazole) were administered after identification of N otitidiscaviarum.Outcomes:
The patient eventually died from severe respiratory insufficiency in the hospital.Lessons:
Early precise diagnosis and prompt combined therapy are of vital importance in severe Nocardia pulmonary infection.